Computational fluid dynamic as an engineering tool for the reconstruction of blood hemodynamics and spatial configuration before and after endoleak appearance

Authors

  • Andrzej Polańczyk Faculty of Safety Engineering and Civil Protection, Fire University, ul. J. Słowackiego 52/54, 01-629 Warsaw, Poland
  • Aleksandra Piechota-Polańczyk Medical University of Lodz, Department of Cell Cultures and Genomic Analysis, ul. gen. L. Żeligowskiego 7/9, 90-752 Łódź, Poland
  • Agnieszka W. Piastowska-Ciesielska Medical University of Lodz, Department of Cell Cultures and Genomic Analysis, ul. gen. L. Żeligowskiego 7/9, 90-752 Łódź, Poland
  • Ihor Huk Department of Surgery, Division of Vascular Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria
  • Christoph Neumayer Department of Surgery, Division of Vascular Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria
  • Patricia Pia Wadowski Division of Angiology, Department of Internal Medicine II, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria
  • Julia Balcer Institute of Electronics, Lodz University of Technology, Al. Politechniki 10, 93-590 Lodz, Poland
  • Michał Strzelecki Institute of Electronics, Lodz University of Technology, Al. Politechniki 10, 93-590 Lodz, Poland

DOI:

https://doi.org/10.24425/mms.2024.152053

Keywords

endoleaks, aortic stent-graft, CT, endovascular aneurysm repair, abdominal aorta, aorta visualization, vascular imaging

Abstract

Endovascular aneurysm repair (EVAR) has emerged as the primary treatment option for abdominal aortic aneurysm (AAA) surgeries. The intricate hemodynamics within the AAA region often leads to various complications in post-stent-graft placement, such as endoleaks. Thus, the objective of this study was to assess the risk of stent-graft migration attributable to the appearance of endoleaks, employing spatial configuration analysis and wall shear stress (WSS) assessment. AngioCT data from 20 patients aged 50-60 years, who had undergone stent-graft placement at the Medical University of Vienna, were utilized. Three-dimensional geometries were reconstructed using ANSYS software (ANSYS, Canonsburg, Pa, USA) for blood flow simulation. The blood flow was assumed to be incompressible and laminar. The stent-graft’s area and height were scrutinized, alongside the formulation of a shape factor connecting the real stent-graft’s volume with a virtually reconstructed cylinder. Prostheses with endoleaks exhibited an average WSS of 328.23 ± 107.63 Pa, while the average WSS within the endoleak area was 30.00 ± 9.57 Pa. In contrast, prostheses without endoleaks displayed a WSS of 367.90 ± 119.42 Pa. Computational Fluid Dynamics (CFD) algorithms facilitated the analysis of WSS values pre- and post-endoleak appearance, as well as within the endoleak region. Additionally, the proposed shape factor facilitated the spatial configuration of stent-grafts with and without endoleaks, incorporating the pushing forces.

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Published

2024-12-30

How to Cite

Polańczyk, Andrzej, et al. “Computational Fluid Dynamic As an Engineering Tool for the Reconstruction of Blood Hemodynamics and Spatial Configuration before and After Endoleak Appearance”. Metrology and Measurement Systems, vol. 31, no. 4, Dec. 2024, pp. 711-3, doi:10.24425/mms.2024.152053.

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Vol. 31 No. 4 (2024)

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